Puzzle Healthcare
Post-Acute Performance Analytics

MUSC Health

An eight-quarter review of FFS SNF discharge patterns, destination concentration, and FSHR performance across an 18-hospital health system spanning South Carolina — from the flagship academic medical center in Charleston to community hospitals in the Pee Dee, Lowcountry, Midlands, and Grand Strand regions.

Prepared by: Puzzle Healthcare
Date: 2026-06-25
Data Period: 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix)
System: MUSC Health (Medical University of South Carolina)
Confidential 11 hospitals analyzed  ·  1,420 FFS SNF patients  ·  136 SNF destinations  ·  South Carolina
11
MUSC Hospitals
(Active Data)
1,420
FFS SNF
Patients
136
Unique SNF
Destinations
73
Cross-System
SNFs (2+ Hosps)
15
Priority SNF
Targets
8
Quarters
Analyzed

FSHR Elevation, Network Fragmentation, and the Opportunity to Coordinate a System-Wide Post-Acute Network

MUSC Health operates South Carolina’s only academic medical center health system, now spanning 18 hospitals from Charleston to the Midlands, Pee Dee, and Grand Strand. Its post-acute discharge picture is one of meaningful scale — 1,420 Medicare fee-for-service patients flowing across 136 SNF destinations over eight quarters — with limited cross-hospital coordination and no unified preferred-network infrastructure to manage FSHR performance systematically.

Over eight quarters (2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix)), MUSC Health hospitals collectively discharged 1,420 fee-for-service Medicare patients to skilled nursing facilities, reaching 136 distinct SNF destinations across South Carolina. MUSC Health University Medical Center (Charleston Campus) leads the system in post-acute volume with 465 patients across 79 SNF destinations — the single largest MUSC Health post-acute relationship set in the analysis. MUSC Health Florence Medical Center is the second-highest volume hospital in the system, contributing 236 FFS SNF patients.

South Carolina state benchmarks provide clear context for MUSC’s performance signals: SC FFS 30-day readmission average is 15.0% and SNF utilization average is 13.4%. What the data reveals is a system-wide FSHR elevation and destination fragmentation story: across 11 active hospitals, 1,420 patients are distributed to 136 SNFs, most operating without a structured performance framework or preferred-network accountability from MUSC care teams.

Within MUSC’s existing discharge patterns is a structural starting point for coordination: 73 SNFs already serve two or more MUSC Health hospitals simultaneously. These shared facilities are the organic preferred network — facilities that MUSC hospitals have collectively chosen through discharge patterns without any formal coordination. Puzzle Healthcare’s role is to formalize that organic network, extend its reach, and make FSHR performance systematically measurable and accountable.

The 15 priority SNF targets identified in this analysis — facilities with elevated FSHR rates appearing across multiple MUSC Health hospitals — represent the highest-impact starting cohort for an embedded clinical program. Together they account for significant patient volume and carry FSHR rates meaningfully above the system-wide average of 44.4%.

01
System-wide FSHR of 44.4%: elevated above South Carolina state average with limited coordination infrastructure
Across 11 MUSC hospitals, the weighted FSHR stands at 44.4% — indicating that nearly half of all SNF patients are returning to the hospital within the skilled stay. Individual hospital FSHR rates range from 25.0% to 58.4% (Orangeburg), a spread that underscores the heterogeneity of the post-acute challenge across MUSC’s geographically dispersed network.
02
15 priority SNF targets with elevated FSHR appearing across multiple MUSC hospitals
The priority target analysis surfaces 15 SNFs with FSHR rates significantly above the system average and appearing in two or more hospital discharge networks. These facilities represent the highest-risk, highest-leverage intervention points — natural candidates for an embedded clinical presence and preferred-network performance standards across the MUSC system.
03
73 SNFs already serve multiple MUSC hospitals — a natural preferred-network foundation
Of the 136 SNF destinations across the MUSC network, 73 are shared across two or more MUSC hospitals. These shared facilities represent existing trust relationships that can be formalized into a coordinated preferred network without requiring new partnerships to be built from scratch. The 29 SNFs serving three or more MUSC hospitals are the natural anchor points for initial engagement.

18 Hospitals, One Shared Post-Acute Challenge

MUSC Health operates 18 acute-care hospitals across South Carolina — from the flagship academic medical center in Charleston to community hospitals in Lancaster, Chester, Marion, Florence, Kershaw, Orangeburg, Columbia, and the Grand Strand. Each hospital draws from a distinct patient population and sends patients to a partially overlapping, partially distinct set of SNF partners across the state.

MUSC Health University Medical Center (Charleston Campus)
Charleston, SC  ·  709 Beds  ·  Charleston / Lowcountry, SC
FFS SNF Patients465
SNF Destinations79
FSHR43.7%
30d FFS Readmit13.5%
Covers: MUSC Health University Medical Center, MUSC Health Shawn Jenkins Children's Hospital, MUSC Health Ashley River Tower…. MUSC flagship. CCN 420004 covers four hospitals on the Charleston campus (University Medical Center, Shawn Jenkins Children's, Ashley River Tower, Institute of Psychiatry). Data is aggregated across all four under one Medicare entity. Highest FFS SNF volume in the system.
MUSC Health Florence Medical Center
Florence, SC  ·  310 Beds  ·  Pee Dee Region, SC
FFS SNF Patients236
SNF Destinations47
FSHR47.9%
30d FFS Readmit17.9%
Former Carolinas Hospital System–Florence. Acquired March 2019. Level III Trauma, 310+ beds. Highest FSHR among large-volume hospitals.
Tidelands Waccamaw Community Hospital
Murrells Inlet, SC  ·  119 Beds  ·  Horry County / Grand Strand, SC
FFS SNF Patients208
SNF Destinations20
FSHR
30d FFS Readmit
Tidelands Health system (MUSC acquired majority interest fall 2025). 119 beds, Horry County / Grand Strand. Below-state-average readmission rate. FSHR data not available from CMS Medicare FFS Claims for this period.
MUSC Health Columbia Medical Center Downtown
Columbia, SC  ·  258 Beds  ·  Richland County / Columbia, SC
FFS SNF Patients114
SNF Destinations26
FSHR
30d FFS Readmit
Former Providence Hospital (Forest Drive). Acquired from LifePoint Health August 2021. 258 beds. CCN 420026 covers both Columbia campuses. Downtown is the primary volume driver.
MUSC Health Kershaw Medical Center
Camden, SC  ·  119 Beds  ·  Kershaw County / Camden, SC
FFS SNF Patients112
SNF Destinations17
FSHR
30d FFS Readmit
Former KershawHealth Medical Center. Acquired from LifePoint Health August 2021. 119 beds. High SNF utilization (20.65% vs 13.4% state avg). FSHR data not available for this pull period.
MUSC Health Lancaster Medical Center
Lancaster, SC  ·  199 Beds  ·  Lancaster / Catawba Region, SC
FFS SNF Patients109
SNF Destinations15
FSHR40.1%
30d FFS Readmit13.3%
Former Springs Memorial Hospital. Acquired March 2019. 199 beds. High FSHR driven by Lancaster Convalescent Center concentration.
MUSC Health Columbia Medical Center Northeast
Columbia, SC  ·  74 Beds  ·  Richland County / Columbia, SC
FFS SNF Patients49
SNF Destinations24
FSHR
30d FFS Readmit
Former Providence Health Northeast. Acquired from LifePoint Health August 2021. 74 beds. Shares CCN 420026. Separate Medicare entity with distinct SNF/HHA patterns.
MUSC Health Orangeburg Medical Center
Orangeburg, SC  ·  286 Beds  ·  Orangeburg County, SC
FFS SNF Patients48
SNF Destinations29
FSHR58.4%
30d FFS Readmit
Former Regional Medical Center (RMC). 99-year lease from RMC board starting 2023. Level III Trauma, 286 beds. Highest FSHR in the system at 58.4%. Low SNF utilization (0%) may reflect data period transition.
Tidelands Georgetown Memorial Hospital
Georgetown, SC  ·  131 Beds  ·  Georgetown County, SC
FFS SNF Patients48
SNF Destinations7
FSHR
30d FFS Readmit
Tidelands Health system (MUSC acquired majority interest fall 2025). 131-bed acute care hospital. Below-state-average readmission rate.
MUSC Health Chester Medical Center
Chester, SC  ·  82 Beds  ·  Chester County, SC
FFS SNF Patients16
SNF Destinations10
FSHR25.0%
30d FFS Readmit12.9%
Former Chester Regional Medical Center. Acquired March 2019. 82 beds. High SNF utilization vs SC state average.
MUSC Health Marion Medical Center
Mullins, SC  ·  124 Beds  ·  Marion County, SC
FFS SNF Patients15
SNF Destinations11
FSHR31.4%
30d FFS Readmit16.5%
Former Carolinas Hospital System–Marion. Acquired March 2019. 124 beds. Small FFS SNF volume; high FSHR relative to size.
* Data Availability Note: Seven MUSC Health facilities are acknowledged in the system roster but excluded from SNF performance metrics: Shawn Jenkins Children's Hospital (pediatric specialty mix), Ashley River Tower (surgical tower, shared CCN 420004), Institute of Psychiatry (psychiatric patients do not generate SNF discharges), Tidelands Rehab Murrells Inlet (IRF), Tidelands Rehab Little River (IRF), MUSC Rehab Hospital N. Charleston (IRF), and Black River Medical Center (opened January 2023, not yet indexed in CMS Medicare FFS Claims). All system totals reflect the 11 hospitals with active CMS Medicare FFS Claims data. All reported system totals (1,420 FFS patients, 136 SNF destinations) reflect only the 11 hospitals with active CMS Medicare FFS Claims data.

MUSC Health’s geographic span across South Carolina represents both a strategic complexity and a significant opportunity. The system’s hospitals serve distinct regional communities — academic medicine in Charleston, trauma and tertiary care in Florence and Orangeburg, community access in Chester and Marion, rapidly growing suburban markets in Columbia and Lancaster, and the Grand Strand retirement corridor through the Tidelands partnership. This diversity means that post-acute discharge patterns, local SNF networks, and FSHR drivers differ meaningfully across facilities. A coordinated preferred-network framework delivers the greatest operational value precisely in this kind of heterogeneous multi-hospital system: unified performance standards, embedded clinical presence, and real-time visibility that operates consistently across all 11 hospitals regardless of geography.


A Long Tail: Top 5 SNFs Capture a minority share, Many More Share the Rest

MUSC Health University Medical Center (Charleston Campus)’s 79-facility SNF destination network illustrates a pattern common to high-volume academic medical centers: a small number of facilities receive outsized volume, while the majority consist of lower-volume relationships that are difficult to manage systematically. This concentration and fragmentation dynamic — replicated across 11 hospitals and 136 SNF destinations — is the core visibility challenge at the heart of MUSC Health’s post-acute situation.

MUSC Health University Medical Center (Charleston Campus) — Top SNF Partners by Volume (30d Readmit shown)
SNF Name
30d Readmit
Volume / Share
Spring Street Health Center
10.1%
69 pts  ·  11.7% share
Nhc Healthcare, Charleston
16.9%
58 pts  ·  9.9% share
Bishop Gadsden Episcopal Retirement Community
9.9%
47 pts  ·  8.0% share
Johns Island Post Acute
15.3%
39 pts  ·  6.6% share
Wellmore Of Daniel Island Llc
11.2%
38 pts  ·  6.5% share
Cooper River Post Acute
16.3%
32 pts  ·  5.4% share
Oak Harbor Healthcare
11.1%
30 pts  ·  5.1% share
Ashley River Healthcare
15.1%
24 pts  ·  4.1% share
UMC Charleston: top-SNF concentration not pre-computed — see individual rows above.

The concentration pattern at MUSC Health University Medical Center (Charleston Campus) is characteristic of a large academic medical center in a geographically concentrated state. Its top SNF partners already have the volume to support an embedded clinical presence — and they clearly have established relationships with UMC Charleston’s discharge planning teams. The coordination gap lives in the long tail: the facilities receiving smaller patient volumes with no systematic performance framework or preferred-network accountability.

Multiplied across 11 MUSC hospitals and 136 total SNF destinations system-wide, that long tail represents hundreds of downstream facilities operating beyond the horizon of MUSC’s visibility. That is precisely the structural problem a unified preferred-network framework addresses — starting with the 73 cross-system facilities that already appear in multiple MUSC discharge networks simultaneously.


Reading the FSHR Signals: Performance Across 11 MUSC Hospitals

South Carolina state SNF utilization benchmark: 13.4% (FFS). SC 30-day readmission average: 15.0%. The system-wide FSHR of 44.4% serves as the primary internal reference point for identifying hospitals with elevated return-to-hospital rates and high-impact intervention opportunities.

MUSC Health University Medical Center (Charleston Campus)
Charleston, SC  ·  709 Beds  ·  Opportunity Score: 63
Immediate Priority
465
FFS SNF Patients
79
SNF Destinations
43.7%
FSHR (-0.7pp vs system)
13.5%
30d Readmit (-1.5pp vs SC avg)
44.4%
System FSHR Avg

MUSC Health University Medical Center (Charleston Campus) discharged 465 FFS patients to 79 distinct SNF destinations over the analysis period. FSHR stands at 43.7%, -0.7pp vs system average. Thirty-day readmission rate: 13.5%. The leading post-acute destination is Spring Street Health Center (69 patients, 11.7% share). The hospital’s SNF network includes 21 facilityies with a “Very High” risk category.

The UMC Charleston post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at UMC Charleston’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Spring Street Health Center6911.7%34.5%10.1%High
Nhc Healthcare, Charleston589.9%54.5%16.9%High
Bishop Gadsden Episcopal Retirement Community478.0%22.0%9.9%High
Johns Island Post Acute396.6%50.6%15.3%High
Wellmore Of Daniel Island Llc386.5%30.3%11.2%High
MUSC Health Florence Medical Center
Florence, SC  ·  310 Beds  ·  Opportunity Score: 66
Immediate Priority
236
FFS SNF Patients
47
SNF Destinations
47.9%
FSHR (+3.5pp vs system)
17.9%
30d Readmit (+2.8pp vs SC avg)
44.4%
System FSHR Avg

MUSC Health Florence Medical Center discharged 236 FFS patients to 47 distinct SNF destinations over the analysis period. FSHR stands at 47.9%, +3.5pp vs system average. Thirty-day readmission rate: 17.9%. The leading post-acute destination is The Palms At Florence (79 patients, 23.8% share). The hospital’s SNF network includes 16 facilityies with a “Very High” risk category.

The Florence post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Florence’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
The Palms At Florence7923.8%46.2%19.1%High
Presbyterian Home Of Sc - Florence298.7%44.2%16.3%High
Kingstree Nursing Facility257.5%47.5%18.8%High
Lake City Healthcare Center247.2%48.9%14.0%High
Southland Health Care Center216.3%62.3%21.5%High
Tidelands Waccamaw Community Hospital
Murrells Inlet, SC  ·  119 Beds  ·  Opportunity Score: 27
Monitor
208
FFS SNF Patients
20
SNF Destinations
FSHR
30d Readmit
44.4%
System FSHR Avg

Tidelands Waccamaw Community Hospital discharged 208 FFS patients to 20 distinct SNF destinations over the analysis period. FSHR stands at not available in this data period. Thirty-day readmission rate: not available. The leading post-acute destination is Nhc Healthcare, Garden City (95 patients, 41.9% share).

The Waccamaw post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Waccamaw’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Nhc Healthcare, Garden City9541.9%Moderate
Litchfield Retirement, Llc6528.6%Moderate
Angel Oak Nursing And Rehabilitation Center Llc3515.4%Moderate
Compass Post Acute Rehabilitation135.7%Moderate
Addolorata Villa<11Moderate
MUSC Health Columbia Medical Center Downtown
Columbia, SC  ·  258 Beds  ·  Opportunity Score: 25
Monitor
114
FFS SNF Patients
26
SNF Destinations
FSHR
30d Readmit
44.4%
System FSHR Avg

MUSC Health Columbia Medical Center Downtown discharged 114 FFS patients to 26 distinct SNF destinations over the analysis period. FSHR stands at not available in this data period. Thirty-day readmission rate: not available. The leading post-acute destination is Nhc Healthcare, Parklane (30 patients, 14.8% share).

The Columbia Downtown post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Columbia Downtown’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Nhc Healthcare, Parklane3014.8%Moderate
Wildewood Retirement Llc2612.8%Moderate
Karesh Long Term Care2210.8%Moderate
Pruitthealth - Blythewood199.4%Moderate
Rice Nursing Home178.4%Moderate
MUSC Health Kershaw Medical Center
Camden, SC  ·  119 Beds  ·  Opportunity Score: 41
Near-Term Priority
112
FFS SNF Patients
17
SNF Destinations
FSHR
30d Readmit
44.4%
System FSHR Avg

MUSC Health Kershaw Medical Center discharged 112 FFS patients to 17 distinct SNF destinations over the analysis period. FSHR stands at not available in this data period. Thirty-day readmission rate: not available. The leading post-acute destination is Karesh Long Term Care (86 patients, 55.1% share).

The Kershaw post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Kershaw’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Karesh Long Term Care8655.1%Moderate
Springdale Healthcare Center2616.7%Moderate
Lancaster Convalescent Center<11Moderate
Life Care Center Of Columbia<11Moderate
Mccoy Memorial Nursing Center<11Moderate
MUSC Health Lancaster Medical Center
Lancaster, SC  ·  199 Beds  ·  Opportunity Score: 46
Near-Term Priority
109
FFS SNF Patients
15
SNF Destinations
40.1%
FSHR (-4.3pp vs system)
13.3%
30d Readmit (-1.8pp vs SC avg)
44.4%
System FSHR Avg

MUSC Health Lancaster Medical Center discharged 109 FFS patients to 15 distinct SNF destinations over the analysis period. FSHR stands at 40.1%, -4.3pp vs system average. Thirty-day readmission rate: 13.3%. The leading post-acute destination is Lancaster Convalescent Center (57 patients, 40.4% share). The hospital’s SNF network includes 9 facilityies with a “Very High” risk category.

The Lancaster post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Lancaster’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Lancaster Convalescent Center5740.4%46.1%15.7%High
White Oak Manor Lancaster5236.9%33.6%10.6%High
Bennettsville Health And Rehabilitation Center<1119.3%Moderate
Karesh Long Term Care<1112.2%High
Liberty Commons Nursing And Rehabilitation Center Of Matthews, Llc<1112.3%High
MUSC Health Columbia Medical Center Northeast
Columbia, SC  ·  74 Beds  ·  Opportunity Score: 26
Monitor
49
FFS SNF Patients
24
SNF Destinations
FSHR
30d Readmit
44.4%
System FSHR Avg

MUSC Health Columbia Medical Center Northeast discharged 49 FFS patients to 24 distinct SNF destinations over the analysis period. FSHR stands at not available in this data period. Thirty-day readmission rate: not available. The leading post-acute destination is Rice Nursing Home (15 patients, 15.6% share).

The Columbia Northeast post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Columbia Northeast’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Rice Nursing Home1515.6%Moderate
Nhc Healthcare, Parklane1212.5%Moderate
Karesh Long Term Care1111.5%Moderate
Pruitthealth - Blythewood1111.5%Moderate
Forest Acres Post Acute<11Moderate
MUSC Health Orangeburg Medical Center
Orangeburg, SC  ·  286 Beds  ·  Opportunity Score: 32
Monitor
48
FFS SNF Patients
29
SNF Destinations
58.4%
FSHR (+14.0pp vs system)
30d Readmit
44.4%
System FSHR Avg

MUSC Health Orangeburg Medical Center discharged 48 FFS patients to 29 distinct SNF destinations over the analysis period. FSHR stands at 58.4%, +14.0pp vs system average. Thirty-day readmission rate: not available. The leading post-acute destination is Jolley Acres Healthcare Center (19 patients, 20.2% share).

The Orangeburg post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Orangeburg’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Jolley Acres Healthcare Center1920.2%49.0%Moderate
The Oaks Healthcare Llc1718.1%68.8%Moderate
Edisto Post Acute1212.8%Moderate
Calhoun Convalescent Center<11Moderate
Carlyle Senior Care Of Blackville<11Moderate
Tidelands Georgetown Memorial Hospital
Georgetown, SC  ·  131 Beds  ·  Opportunity Score: 16
Monitor
48
FFS SNF Patients
7
SNF Destinations
FSHR
30d Readmit
44.4%
System FSHR Avg

Tidelands Georgetown Memorial Hospital discharged 48 FFS patients to 7 distinct SNF destinations over the analysis period. FSHR stands at not available in this data period. Thirty-day readmission rate: not available. The leading post-acute destination is Prince George Healthcare Center (32 patients, 45.1% share).

The Georgetown post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Georgetown’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Prince George Healthcare Center3245.1%Moderate
Oak Hollow Of Georgetown Rehabilitation Center, Llc1622.5%Moderate
Cooper River Post Acute<11Moderate
Kingstree Nursing Facility<11Moderate
Litchfield Retirement, Llc<11Moderate
MUSC Health Chester Medical Center
Chester, SC  ·  82 Beds  ·  Opportunity Score: 52
Near-Term Priority
16
FFS SNF Patients
10
SNF Destinations
25.0%
FSHR (-19.4pp vs system)
12.9%
30d Readmit (-2.1pp vs SC avg)
44.4%
System FSHR Avg

MUSC Health Chester Medical Center discharged 16 FFS patients to 10 distinct SNF destinations over the analysis period. FSHR stands at 25.0%, -19.4pp vs system average. Thirty-day readmission rate: 12.9%. The leading post-acute destination is Musc Health Chester Nursing Center (16 patients, 61.5% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.

The Chester post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Chester’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Musc Health Chester Nursing Center1661.5%25.0%12.9%High
Franke Health Care Center<119.1%Moderate
Heartland Health Care Center-Union<1117.7%High
Lancaster Convalescent Center<1115.7%High
Pruitthealth - Ridgeway<1114.4%High
MUSC Health Marion Medical Center
Mullins, SC  ·  124 Beds  ·  Opportunity Score: 46
Near-Term Priority
15
FFS SNF Patients
11
SNF Destinations
31.4%
FSHR (-13.0pp vs system)
16.5%
30d Readmit (+1.5pp vs SC avg)
44.4%
System FSHR Avg

MUSC Health Marion Medical Center discharged 15 FFS patients to 11 distinct SNF destinations over the analysis period. FSHR stands at 31.4%, -13.0pp vs system average. Thirty-day readmission rate: 16.5%. The leading post-acute destination is Musc Health Mullins Nursing Center (15 patients, 41.7% share). The hospital’s SNF network includes 1 facilityy with a “Very High” risk category.

The Marion post-acute network illustrates the broader MUSC pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Marion’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR 30d Readmit Risk
Musc Health Mullins Nursing Center1541.7%31.4%16.5%High
Bennettsville Health And Rehabilitation Center<1119.3%Moderate
Bethea Baptist Healthcare<1117.3%Moderate
Faith Healthcare Center<1118.0%Moderate
Florence Rehab & Nursing Center<1125.9%Moderate
Benchmark Note: SC state SNF utilization avg 13.4% and 30-day readmission avg 15.0% from CMS Medicare FFS data. System FSHR avg 44.4% used as internal reference. 30-day readmission rates are computed from weighted SNF-level data, FFS 2024 Q1 – 2025 Q4 (FFS); 2023 (CMS Payer Mix). Risk scores derived from facility risk category: Very Low=1.0, Low=2.0, Medium=3.0, High=4.0, Very High=5.0. FSHR = facility-specific hospitalization rate (proportion of SNF patients returning to any hospital during the skilled nursing stay).

73 SNFs Already Serve Multiple MUSC Hospitals — Without Coordination

Of the 136 SNF destinations across the MUSC network, 73 already serve two or more MUSC hospitals simultaneously. These shared facilities are the structural backbone of any preferred-network strategy — existing relationships that can be elevated and formalized without requiring new partnerships to be built from scratch.

Top 12 of 73 Cross-System SNFs — Serving Multiple MUSC Hospitals (30d Readmit shown)
SNF Name
30d
Hospitals Served
Karesh Long Term Care
12.2%
6 hospitals  ·  119 pts · University (Charleston Campus), Florence, Columbia Downtown, Kershaw +2
Pruitthealth - Blythewood
14.7%
6 hospitals  ·  30 pts · University (Charleston Campus), Columbia Downtown, Kershaw, Lancaster +2
Springdale Healthcare Center
14.7%
6 hospitals  ·  26 pts · University (Charleston Campus), Florence, Columbia Downtown, Kershaw +2
Pruitthealth - Ridgeway
14.4%
6 hospitals · University (Charleston Campus), Florence, Columbia Downtown, Kershaw +2
White Oak Manor Lancaster
10.6%
5 hospitals  ·  52 pts · University (Charleston Campus), Florence, Columbia Downtown, Kershaw +1
Prince George Healthcare Center
15.8%
5 hospitals  ·  32 pts · University (Charleston Campus), Florence, T. Waccamaw, Kershaw +1
Nhc Healthcare, Lexington
9.7%
5 hospitals · University (Charleston Campus), T. Waccamaw, Columbia Downtown, Columbia Northeast +1
Still Hopes Episcopal Retirement Community
9.3%
5 hospitals · University (Charleston Campus), T. Waccamaw, Columbia Downtown, Columbia Northeast +1
The Palms At Florence
19.1%
4 hospitals  ·  79 pts · University (Charleston Campus), Florence, Orangeburg, Marion
Litchfield Retirement, Llc
13.7%
4 hospitals  ·  65 pts · University (Charleston Campus), Florence, T. Waccamaw, T. Georgetown
Lancaster Convalescent Center
15.7%
4 hospitals  ·  57 pts · Florence, Kershaw, Lancaster, Chester
Nhc Healthcare, Parklane
14.3%
4 hospitals  ·  42 pts · University (Charleston Campus), Columbia Downtown, Kershaw, Columbia Northeast

Karesh Long Term Care is among the most connected SNFs in the MUSC Health network — serving 6 hospitals with 119 total patients. The other high-volume cross-system facilities represent the tier of shared relationships where a coordinated embedded clinical presence delivers immediate and demonstrable impact across multiple MUSC hospitals simultaneously.

Of particular note are cross-system facilities with elevated FSHR or readmission: SNFs that already appear in multiple MUSC discharge patterns are precisely the facilities where an embedded clinical presence and preferred-network performance standards create the accountability needed to drive measurable improvement across the system’s post-acute continuum.

The 73 cross-system facilities represent the natural starting cohort for a coordinated MUSC preferred network. A structured engagement beginning with these shared partners would immediately extend coverage across the broadest reach of MUSC hospitals and create the governance layer for performance tracking across the most consequential downstream relationships in the system.


15 High-Impact SNF Facilities for Immediate Engagement

The priority target analysis identifies SNFs with elevated FSHR rates, meaningful patient volume, and cross-hospital presence across the MUSC system. These facilities represent the intersection of high clinical risk and strategic leverage: where an embedded Puzzle clinical presence would deliver immediate impact across multiple MUSC hospitals simultaneously.

Priority SNF Targets — Ranked by Priority Score (FSHR shown)
SNF Name
FSHR
Volume · Hospitals
1. Nhc Healthcare, Charleston
54.5%
58 pts · 1 hosp · University (Charleston Campus)
2. White Oak Manor Charleston
70.3%
20 pts · 1 hosp · University (Charleston Campus)
3. Railroad Crossing Healthcare, Inc.
69.2%
17 pts · 1 hosp · University (Charleston Campus)
4. The Oaks Healthcare Llc
68.8%
17 pts · 2 hosps · University (Charleston Campus), Orangeburg
5. Southland Health Care Center
62.3%
21 pts · 3 hosps · University (Charleston Campus), Florence, Marion
6. Senior Care Of Marion Llc
63.4%
15 pts · 3 hosps · University (Charleston Campus), Florence, Marion
7. Riverside Health And Rehab
54.7%
24 pts · 2 hosps · University (Charleston Campus), Columbia Northeast
8. Johns Island Post Acute
50.6%
39 pts · 2 hosps · University (Charleston Campus), Florence
9. Ashley River Healthcare
52.6%
24 pts · 2 hosps · University (Charleston Campus), Florence
10. The Palms At Florence
46.2%
79 pts · 4 hosps · University (Charleston Campus), Florence, Orangeburg +1
11. Franke Health Care Center
51.4%
17 pts · 2 hosps · University (Charleston Campus), Chester
12. Cooper River Post Acute
48.1%
32 pts · 3 hosps · University (Charleston Campus), Orangeburg, T. Georgetown
13. Lake City Healthcare Center
48.9%
24 pts · 1 hosp · Florence
14. Lancaster Convalescent Center
46.1%
57 pts · 4 hosps · Florence, Kershaw, Lancaster +1
15. Jolley Acres Healthcare Center
49.0%
19 pts · 3 hosps · University (Charleston Campus), Florence, Orangeburg

Nhc Healthcare, Charleston leads the priority target list with a priority score of 5.9 — an FSHR of 54.5% across 1 MUSC hospital and 58 patients. The FSHR elevation at this facility — 10.1% above the system average — represents the type of high-volume, high-FSHR, multi-hospital relationship where an embedded Puzzle clinical presence delivers immediate and measurable return.

Together, the 15 priority targets cover relationships across the majority of MUSC’s active hospital portfolio. A coordinated engagement beginning with these facilities would immediately extend Puzzle’s embedded presence into the highest-risk corner of MUSC Health’s post-acute network — without requiring a facility-by-facility cold-call campaign. MUSC’s endorsement opens those doors, and Puzzle’s embedded clinical model provides the sustained presence to drive FSHR improvement over time.


Where to Focus First

Every active MUSC hospital is scored on a composite of discharge volume, destination breadth, FSHR elevation, readmission rates, and destination-level facility risk. The index surfaces relative priority — not a critique of any individual hospital’s care quality, but a guide to where systematic post-acute infrastructure delivers the greatest immediate return. SC state SNF utilization benchmark: 13.4% (FFS).

All MUSC Hospitals — Ranked by Opportunity Score
Hospital Beds SNF Pts Dests FSHR % 30d Readmit Score Priority
MUSC Health Florence Medical Center3102364747.9%17.9%66Immediate
MUSC Health University Medical Center (Charleston Campus)7094657943.7%13.5%63Immediate
MUSC Health Chester Medical Center82161025.0%12.9%52Near-Term
MUSC Health Lancaster Medical Center1991091540.1%13.3%46Near-Term
MUSC Health Marion Medical Center124151131.4%16.5%46Near-Term
MUSC Health Kershaw Medical Center1191121741Near-Term
MUSC Health Orangeburg Medical Center286482958.4%32Monitor
Tidelands Waccamaw Community Hospital1192082027Monitor
MUSC Health Columbia Medical Center Northeast74492426Monitor
MUSC Health Columbia Medical Center Downtown2581142625Monitor
Tidelands Georgetown Memorial Hospital13148716Monitor
Opportunity Score: composite 0–100 (Volume 25 pts · Utilization vs. SC state avg 13.4% 20 pts · Readmission 20 pts · Destination fragmentation 15 pts · Concentration risk 10 pts · Very High Risk SNF count 10 pts). Hospitals with no CMS Medicare FFS Claims data score —.

MUSC Health Florence Medical Center leads the opportunity ranking with a score of 66 — driven primarily by its FSHR elevation, readmission signal, and the breadth of its SNF destination network. A high-volume hospital with elevated FSHR and a large, largely unmanaged SNF network is precisely where a preferred-network infrastructure delivers maximum return on clinical investment.

MUSC Health University Medical Center (Charleston Campus) (63 score, Immediate) and other Near-Term hospitals represent the tier where FSHR elevation and readmission signals merit structured attention. Their geographic position across the MUSC system means that a preferred-network framework anchored at the top hospitals naturally extends coverage to the Near-Term tier.


The OSF HealthCare Analogy: Introductions That Build a Network

Puzzle Healthcare’s engagement model is built around one core insight: the most effective way to improve post-acute outcomes at a health system is to establish an embedded presence inside the SNF network itself. That requires the health system’s endorsement to open the door. When OSF HealthCare did exactly that, it changed the economics of the entire engagement.

The OSF Precedent: When OSF HealthCare partnered with Puzzle Healthcare, the system introduced Puzzle to approximately 60 nursing homes across their post-acute network. That single act of introduction — OSF telling its downstream SNF partners that Puzzle had the health system’s trust and support — opened relationships that would have taken years to build through conventional vendor outreach. The embedded clinical presence that followed enabled real-time visibility, coordinated care management, and measurable FSHR and readmission improvement across all 60 facilities simultaneously.

MUSC Health has 136 unique SNF destinations — a network of meaningful scale across South Carolina. MUSC’s 73 cross-system shared facilities represent the natural introductions cohort: SNFs that already know and trust multiple MUSC hospitals, and where a coordinated Puzzle presence would have an immediate and demonstrable impact on FSHR performance. That is 73 introductions — many times the minimum needed to make the engagement economics work — before Puzzle has made a single cold call.

01
Preferred Network Design
Jointly identify the SNF partners — starting with the 73 cross-system facilities and 15 priority targets — that meet quality thresholds and are willing to formalize a partnership with MUSC. Puzzle manages the relationship, tracks FSHR and readmission performance, and provides regular scorecards to MUSC care management and population health teams across South Carolina.
02
Embedded Clinical Presence
Puzzle places nurse practitioners and care managers inside preferred SNFs — not as outside consultants, but as embedded partners who round on MUSC patients, flag early deterioration, and communicate directly with hospital care teams. This is the mechanism that drives FSHR and readmission improvement without requiring the SNF to restructure its own staffing model.
03
Real-Time Visibility Dashboard
MUSC care management teams gain a unified view of post-acute performance across all 11 hospitals — FSHR rates, readmission by facility, length-of-stay trends, and destination-level risk scores — updated continuously. South Carolina CMS benchmarks (SNF utilization 13.4%, 30-day readmission 15.0%) are embedded as the reference standard throughout the analysis and dashboard.
04
Systematic Outcome Improvement
The combination of preferred-network accountability, embedded presence, and real-time visibility drives measurable improvement in 30-day readmission rates, FSHR, and average SNF length of stay. These outcomes are reportable to payers, CMS, and MUSC leadership — and they compound over time as the preferred network matures across South Carolina.

The engagement economics of Puzzle’s model require a minimum scale to be operationally viable: an embedded presence in a facility that receives only 8–10 patients per year cannot be sustained. MUSC’s cross-system SNF concentration solves this elegantly. The top cross-system facilities collectively receive enough volume across multiple MUSC hospitals to support a full embedded clinical program from day one — and their FSHR elevation makes the case for urgency clear.

The explicit ask mirrors the OSF model: MUSC introduces Puzzle to its downstream SNF partners — particularly the 73 cross-system facilities where the relationship already exists — so that Puzzle can establish a coordinated presence across the network. With OSF, 60 such introductions built the foundation for a system-wide preferred network. MUSC’s 73 cross-system facilities represent a comparable starting point, with a clear path to expanding across the full 136-destination network as the preferred-network framework matures.


Recommended Actions: From Analysis to Action

The following sequence is designed to move efficiently from this initial analysis to a working preferred-network engagement, with no disruption to existing care pathways during the design phase.

1
Discovery Conversation — MUSC Leadership & Puzzle Healthcare
A structured 60-minute session to walk through this analysis together, validate the data findings against MUSC’s ground-level experience, and identify which hospitals and SNF relationships are highest operational priority for MUSC care management teams. Puzzle brings familiarity with the South Carolina SNF market and a clear view of the preferred-network design options that make sense at MUSC’s scale.
2
High-Volume Hospital Anchor Deep-Dives
Dedicated working sessions with UMC Charleston, Florence, and Tidelands Waccamaw discharge planning, case management, and population health stakeholders to validate the top-SNF data, surface any preferred-partner relationships already in place, and establish baseline FSHR and readmission performance metrics for a preferred-network framework. These three hospitals account for the majority of MUSC’s total post-acute volume and set the architecture for the broader system strategy.
3
Cross-System SNF Preferred Network Design
Using the 73 cross-system facilities and 15 priority targets as the foundation, Puzzle and MUSC co-design the preferred network. Selection criteria include FSHR performance, geographic coverage, patient volume, and willingness to participate. Puzzle leads the SNF outreach and relationship management; MUSC provides the health-system endorsement that makes participation in the preferred network valuable to SNF operators across South Carolina.
4
Formal Introduction to the MUSC SNF Network
MUSC formally introduces Puzzle to the preferred-network SNF facilities — mirroring the OSF model where the health system’s endorsement opens doors that a vendor cold-call cannot. The cross-system facilities and priority targets are the natural first cohort, with the broader 136-destination network as the longer-term expansion target. Puzzle negotiates participation agreements, establishes embedded clinical presence schedules, and onboards each facility. Target: initial cohort live within 90 days of network finalization.
5
Quarterly Performance Reviews & FSHR Benchmarking
Standing quarterly reviews with MUSC care management and population health leadership to present FSHR trends by facility and hospital, readmission benchmarking against SC state averages and internal MUSC averages, facility-level performance scorecards, and network expansion recommendations. These sessions serve as the governance layer that keeps the preferred network accountable over time — and provide MUSC leadership with the data to demonstrate post-acute program impact to payers and internal stakeholders.

What MUSC Health Has — and What Comes Next

MUSC Health has built South Carolina’s most expansive academic health system, spanning 18 hospitals from the flagship academic medical center in Charleston to community hospitals in every major region of the state. 1,420 FFS patients, 136 SNF destinations, 11 active hospitals, and 73 facilities already embedded in multiple MUSC care pathways simultaneously. That is not a system with a post-acute crisis. It is a system with a post-acute opportunity that has not yet been systematically activated.

MUSC’s 11-hospital post-acute network currently operates as 11 largely independent discharge patterns, each sending patients to their own set of SNF destinations without shared FSHR standards, systematic accountability, or a unified visibility layer connecting MUSC care teams to downstream SNF performance. The 15 priority SNF targets — facilities with FSHR rates significantly above the system average of 44.4% appearing across multiple MUSC hospitals — represent the highest-urgency intervention points. But they are part of a larger structural story: 136 SNF destinations, most operating beyond the horizon of MUSC’s systematic oversight.

The 73 cross-system SNFs — facilities that already serve multiple MUSC hospitals and have demonstrated their relevance to the system’s post-acute continuum — are the proof of concept. These are not hypothetical preferred partners; they are already functioning as the de facto preferred network across South Carolina. Puzzle’s role is to formalize it, extend it, and make FSHR performance systematically measurable and accountable.

The explicit ask: Introduce Puzzle to MUSC’s downstream SNF partners — beginning with the 73 cross-system facilities and 15 priority targets that already serve multiple hospitals — so that Puzzle can establish a coordinated embedded presence across the network. When OSF HealthCare made that introduction across approximately 60 nursing homes, the result was a system-wide preferred-network program built on existing trust. MUSC has the same structural foundation — at a scale that makes the opportunity commensurately significant for South Carolina’s leading health system.

We look forward to the conversation — and to what MUSC Health’s post-acute program looks like with the visibility, FSHR accountability, and coordination infrastructure to match the system’s clinical ambition across South Carolina.